Latest Blood-Work Is In From Wellnessfx

So I'm ready to lay it all out there to the Bulletproof community. Now, I have a MAJOR bulletproof flaw at the moment, which is smoking. I'm working on that, which I know is a big reason for some of the numbers below, but in the mean time, I'm looking for anything you've got...

If this were you (and you didn't smoke), what would YOU do?

Recent WellnessFX blood work (1-week old)

VITALS

Age = 41

Hgt = 5â€™8â€

Wt = 140

BMI = 21.4

CARDIO HEALTH

Lipid panel

Total HDL Ratio 3.9

Trig to HDL 1.9

HDL 53

LDL 132

Trigl 100

Total Chol 205

Non-HDL Chol 152

LDL Particles

Apo B 101

Lp(a) <10

Inflammation

hs-CRP 2.6

Homosysteine (Old score was 17.9 in January, but Iâ€™ve been loading on Folinic Acid and B12 since)

METABOLIC HEALTH

Diabetes & Insulin Resistance

All Good

Thyroid

All Good

Metabolic Hormones

Cortisol 22.2

Insulin 2.1

Insulin-like Growth Factor I 68

Z score -1.5

Reproductive Hormones

Estradiol 23

Free Testosterone 74.2

Testosterone (total) 998

DHEA-S 221

SHBG 112

LIVER HEALTH

Liver Enzymes and Function

All Good

KIDNEY HEALTH

Kidney Function

Creatinine (serum) 0.97

eGFR 97

BUN 6

Albumin 4.3

BUN/Creatinine Ratio 6

ELECTROLYTES

Electrolytes

All Good

BONE HEALTH

Bone

All Good

BLOOD HEALTH

Platelets

All Good

White Blood Cells

All Good

Red Blood Cells

All Good

Iron

All Good

VITAMINS & MINERALS

Vitamins

All Good (only tested folate, D2, D3 and B12 though)

Minerals

All Good (just Magnesium (RBC) & Calcium)

Note, Magnesium serum level was dangerously low, at 1.5 in January, but RBC score above was last week

Comments

I would take a look at the actual thyroid numbers since WellnessFX's reference ranges are a little broad, and thyroid can impact cholesterol. I wouldn't worry about LDL, but look into reducing ApoB, Trigs, and perhaps increasing HDL. What is your daily carb intake and timing?

I would look into supplements to address the hs-CRP and perhaps the cortisol, though I probably wouldn't mess with cortisol without a salivary test that measured my levels throughout the day. I'm sure you're aware inflammation and stress is linked to smoking.

I totally hear you on the smoking thing. I know that's my biggest hurdle and contributor. Not sure if I have much carb intake daily (mostly from veggies), so I'd say I'm on the lower-end generally; however, I haven't really quantified it. I probably get way too much protein though. Any advice on supplements for the hs-CRP?

Here are some other lifestyle issues I need to address.... Sleep (recent tiny human addition to our family over the last year), movement is definitely low, being a desk-jockey.

Actual thyroid numbers are as follows:

TSH 0.86

Triiodothyronine )T3, Total) 94

Free T3 3

T-Uptake 32

Thyroxine (T4, Total) 8.7

Free T4 1.2

Reverse T3 21

Any supplements to help curb the inflammation?

(Note: Just bought some nicotine patches to tackle the smoking thing. This is a big one, since I've been smoking since I was 15)

Not my area of expertise, but supps that seem to be most-often recommended for inflammation are curcumin-based, which is a compound in turmeric. Life Extension's Bio-Curcumin and Thorne's Meriva-SR seem to be the go-to's. You can search for both on the forum. I have used them, not noticed anything physically, but have not re-tested for hs-CRP.

Ginger may be anti-inflammatory too, wouldn't hurt to flavor some meals with ginger and turmeric. Regular exercise/activity seems to be correlated with lowering hsCRP as well (but not so intense you generate inflammation) and lowering sugar/carb intake, which is probably not applicable to you.

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